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Patient Centered Care

Medicare Advantage is based on fixed, risk adjusted, quality-based payments for each beneficiary to enable care that is personalized and emphasizes prevention and care coordination. The number of baby boomers turning 65 years is growing and the majority of these beneficiaries face the challenges of living with serious chronic conditions. The emphasis on patient-centered, disease-specific, effective care delivery and benefit design in Medicare Advantage is increasingly important as Medicare faces these challenges.

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A Fragmented System Executive Summary Care fragmentation is a consistent characteristic of the U.S. health care system. On average, Medicare patients see seven physicians at four practices. A staggering 75% of hospitalized patients are unable to identify the clinician in charge of their care. The negative impact of poor coordination...